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    Complete decongestive physiotherapy for older people with chronic venous insufficiency
    (Lippincott Williams & Wilkins, 2010) Bakar, Yeşim; Öztürk, Asuman (Saltan); Çalışal, Mehmet Alper; Ertürk, Kıvılcım; Dağlar, Bahadır
    Introduction: Chronic venous insufficiency (CVI) is a major health problem that may adversely affect quality of life and may cause significant morbidity unless early diagnosis of the problem and the development and testing of new treatments are considered. In recent years, complete decongestive physiotherapy (CDP) has been preferred in the treatment of venous and lymphatic problems. This study presents the results of CDP on edema, pain, and daily activities of older people with CVI. Methods: A total of 62 patients aged 59 to 68 years (mean 64.95 +/- 2.54 years) were treated for CVI with CDP (manual lymph drainage, skin care, compression, exercise). The following parameters were investigated: leg circumference, pain intensity, impact of the problem on daily activities, and distance of pain-free walking. The volume and circumference were measured at 9 levels (metatarsus, ankle, above ankle, mid calf, below knee, knee, above knee, mid thigh, top of thigh) on the lower limbs, before and after CDP, using a Leg-O-Meter. Results: Limb volume, pain intensity, pain-free walking distance, and effects on activities of daily living improved significantly following the treatment (P < .01). Conclusions: CDP can reduce the volume of CVI-related edema and reduce the pain caused by this condition in older people.
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    The effects of pain on health-related quality of life and satisfaction with life in older adults
    (Lippincott Williams & Wilkins, 2010) Şimşek, İbrahim Engin; Şimşek, Tülay Tarsuslu; Yümin, Eylem Tütün; Sertel, Meral; Öztürk, Asuman (Saltan); Yümin, Murat
    Purpose: This study was designed to investigate the relations between pain, health-related quality of life, and satisfaction with life in older adults above the age of 65 years. Subjects and methods: A total of 163 subjects, 58 (35.6%) females and 105 (64.4%) males, with an average age of 73.26 +/- 6.58 years participated in the study. After gathering sociodemographic data, Nottingham Health Profile (NHP) was used to assess health-related quality of life. Satisfaction with life and level of pain were evaluated using Visual Analogue Scale. Results: Eighty-eight (54%) subjects reported pain that mainly originated from lower back, knees, and extremities with an average Visual Analogue Scale score of 5.75 +/- 2.18. There were significant differences between older adults reporting pain and those who did not report pain in the aspects of satisfaction with life and NHP (total and all subscales) (P < .05). Also, severity of pain was found to have a negative effect on NHP and social isolation subscale (NHP) (P < .05). Conclusion: This study demonstrated the adverse impact of pain on quality of life. Pain is a significant problem and needs to be routinely assessed and treated in older-adult population.